Saphenal Neuralgia

Definition

Saphenal neuralgia is a neurological disorder due to a lesion or
dysfunction of this nerve and is accompanied by pain and
neurological deficits in region of the saphenal nerve.

Aetiology

During varicose surgery, a lesion of the saphenal nerve occurs
in 6.6-37% of cases.

Signs and symptoms

Patients with saphenal neuralgia complain of pain, sensory loss,
hyperalgesia, and allodynia of the inner side of the lower leg.

Diagnostics

Physical Examination

Neurological examination can show allodynia and hypoalgesia in
the region of the saphenal nerve.

Additional Somatic Diagnostics

None

RAND-36 (quality of life)

VAS-Pain (maximal, minimal, actual, average/week)

PCS (catastrophising)

HADS (fear and depression)

Additional Psycho-cognitive Diagnostics

Multidisciplinary Treatment

Whether or not somatic treatment is indicated is based on the
pain diagnosis. Based on the findings of the pain
questionnaires, additional diagnostics and/or multidisciplinary
treatment consisting of various non-somatic treatments may be
necessary.

Pijn.com provides reliable information on the diagnosis and treatment of chronic pain. Complaints such as scar tissue pain, herniated discs or neuropathic pain are discussed.

The University Pain Centre Maastricht (UPCM), led by Dr. Sommer of the Maastricht UMC +, has received of the World Institute of Pain (WIP) the highest possible award, known as the Excellence in Pain Practice Award for Comprehensive Multidisciplinary Pain Practice. There are only a few other pain centres worldwide that have received this award. In particular the multidisciplinary approach of the University Maastricht Pain Centre is praised by the WIP.